Report an Injury

1. Submit an Online Injury Report Now

In October 2020, our online injury reporting form was replaced by the First Report of Injury (FROI) Portal. New account registration is required before using the FROI Portal. 

Learn More

Note: A copy of the injury report will be emailed to any email address provided during submission. To protect privacy and data of our policyholders and their employees, MEMIC uses an email encryption service from Mimecast for sending messages and attachments that contain Personal Identifiable (PI) information. Access to the Mimecast Secure Messaging Portal requires creating a username and password. If no email address is provided, a copy of the report will be mailed.

 Mimecast Secure Messaging Portal Guide

2. Email injury report form to Claims@MEMIC.com

Note:  Contact your state's workers' compensation agency for form.

3.   Fax injury report form to 207-791-3334

Note:  Contact your state's workers' compensation agency for form.

4.  Call us at 1-800-MEMICWC or 1-800-636-4292

Available Monday through Friday, 8:00 AM to 4:30 PM (EST) 

5.  Mail injury report form to us within 24 hours:

MEMIC Claim Department 
PO Box 3606 
Portland, ME 04104

Note:  Contact your state's workers' compensation agency for form.